Director, Claims Operations Jobs in San Francisco, CA

Drive impactful MSSP valuation and reserving, shaping healthcare's future through data-driven insights and cross-functional collaboration, ensuring financial clarity and supporting physician partners...

Lead the charge in delivering complex federal digital services programs, ensuring strategic direction, operational excellence, and strong customer relationships across multidisciplinary teams while ma...

Join the charge in optimizing patient reimbursement services while managing interactions between providers and manufacturer representatives. Deliver education and support across a defined territory wh...

Unlock potential as a mid-level actuarial analyst, applying statistical techniques to enhance insurance pricing, claims analysis, and profitability studies while progressing through the Actuarial Exec...

Optimize clinical documentation processes across facilities while ensuring regulatory compliance and enhancing reimbursement efficiency. Leverage your expertise in behavioral health and audit readines...

Help us shape compensation strategies that attract and retain top talent. As a Senior Compensation Partner, you'll collaborate with leaders to navigate complex compensation challenges and enhance our...

Reimagine client partnerships by managing complex relationships, driving performance, and leading recovery strategies. Collaborate with executives to ensure client success and identify growth opportun...

Champion data-driven decision-making by establishing a unified product metrics framework. Collaborate across teams to enhance product health insights, streamline reporting, and drive strategic initiat...

Transform your career by leveraging your clinical and coding expertise to defend appeals for healthcare claims. This role demands independent analysis, strong communication, and proficiency in AI tool...

Oversee and innovate executive development initiatives, enhancing leadership capabilities for Meta's senior leaders. Anticipate needs and design impactful programs to facilitate growth amidst organiza...

Champion legal operations excellence by driving process improvements, metrics establishment, and AI integration to enhance workflow efficiencies and support the Legal team in dynamic, fast-paced envir...

Transform client relationships by delivering exceptional service and support, ensuring seamless communication and issue resolution while collaborating with internal teams to enhance client satisfactio...

Elevate medical management by ensuring timely and accurate clinical case reviews, collaborating with peers for medical necessity assessments, and adhering to established policies to drive efficient ou...

Lead the charge in shaping executive development for senior leaders. Design innovative programs that enhance leadership skills, facilitate deep engagements, and integrate cutting-edge research to ensu...

Shape the future of our strategic initiatives by leading high-impact projects that drive innovation and collaboration across teams. Partner closely with executive leadership to deliver measurable resu...

Champion best practices in vendor management with a focus on strategic sourcing, risk mitigation, and client relationship cultivation to drive operational excellence and maximum value across client en...

Champion innovative risk adjustment solutions by leveraging deep expertise to enhance payer and provider strategies. Collaborate with cross-functional teams to deliver impactful presentations and driv...

Partner with us to drive M&A and strategic investments, enhancing our growth strategy. Collaborate with various teams to support due diligence and deal execution while preparing executive-level materi...

Drive the evolution of the Marketing PMO, enhancing planning, governance, and execution across functions. Lead strategic programs, optimize workflows, and establish metrics to ensure predictable outco...

Lead and develop a high-performing team of Sales Development Representatives, driving top-of-funnel pipeline and optimizing conversion strategies while collaborating with cross-functional teams to ach...

Lead the design and implementation of customer feedback systems, unifying insights to drive strategic decisions. Collaborate with executive leadership to enhance customer experience and operational ef...

Lead the charge in shaping customer operations by unifying feedback, analyzing market trends, and delivering strategic insights to enhance customer experience and drive business outcomes across the or...

Optimize distribution center operations by leading teams, ensuring safety, and driving continuous improvement. Collaborate with management to meet quality and delivery goals while fostering a values-b...

Join a team that's redefining scientific data management in drug discovery. Lead the scientific data team, bridging scientists and engineers to ensure data integrity, quality, and innovative solutions...

Elevate workplace change initiatives by leading strategic communications that drive employee engagement and adoption. Collaborate with cross-functional teams to ensure effective messaging and support...